To: Bi –MEK DOO

sales@bimek.com.mk

Subject: Market Research for Supply of Equipment under the project “Heart Safe
Cities”Location: settlement St. Stefan, Ohrid Project Heart Safe Cities, CN1 - SO 1.2 - SC002
Ref no. HSC#TND- D 3.3.1, D3.3.2, D3.3.3

Dears

We hereby invite you to express your interest for supply of equipment under the
project “Heart Safe Cities”Location: settlement St. Stefan, Ohrid.
1. Description of items for supply
:

  Description Qty Technical specifications

Fully automatic public access defibrilator with pulsed biphasic

Automatic External
1 Defibrilator
waveform
Disposable Li-MnO2 lithium cell 12 V, 2,8Ah
Battery capacity: more than 180 shocks at maximum energy
Dimensions (h x w x l): 70x230x220mm +_5%
Weight: max. 1,6 kg (incl. battery)
LCD screen with textual and simbol display with minimal
dimensions 100x37mm
Energy levels for adults in minimal range of: 1 to150 J
Information data store up on SD card:
Recorded data:
-ECG signal recording (minimum 2h)
-Ambient noise recording (minimum 2h)
-Event recording (minimum 500 events)
To be delivered with minimum one set of preconected
10 disposable adult pads and carrying bag
 CPR Training Manikin

Training mannequen for studies focusing on the depth and

force of compression during cardiopulmonary resuscitation
(CPR).
Anatomically correct and hygienic to use.
The head to be easy to tilt in order to open the airways for
mouth-to-mouth and mouth-to-nose resuscitation.
Minimum 10 lung bags to be included and 1 additional face
mask for hygienic reasons.
2 BLS training mannequen 10 Carrying bag

• Configurable in semi-automatic or fully automatic mode

• Power supply: 1.5V cells or rechargeable batteries
• Metronome
• Operation identical to the real devices, display with
instructions and vocal messages
• Minimum 9 preset scenarios
• Infrared remote control, enabling the instructor to choose
and control a scenario
• Training electrodes, suitable for any mannequin
• Reusable cable
• Delivered with:
- 1 infra-red remote control 4 batteries
- 3 pairs of training electrodes
- 1 reusable cable
3 Training AEDs 5 - 1 casing for batteries

Adult Airway Management Trainer

Airway Management Trainer who simulates a nonanesthetized

patient and features anatomical landmarks such as: teeth,
tongue, oral and nasal pharynx, larynx, epiglottis, trachea,
lungs, esophagus, cricoid cartilage and stomach.

To train the following procedures:

Oral, digital, and nasal intubation, Combitube insertion, Sellick
maneuver, ventilation, CPR, suction techniques and propper
cuff inflation call all be pratised and evaluated.
Features durable, rugged, one-piece construction and
bifurcated lungs.
4 ILS training mannequen 4 Hard carrying case to be included
5.1 Ambulance Vehicle 1 Ambulance vehicle for Emergency health care with medical
equipment
A. General requirements
1.Manufactured and certified according to European standard
EN 1789: 2007
2.Fuel: diesel
3.Propulsion on the front wheels
4.The power of the aggregate of 80 to 120kW
5.Aggregate generation-EURO 5 minimum
6.Gear: a manual 6 speed + reverse
7.Number of doors: 5
-cabin with 2 doors, doors in the patient compartment, 2 doors
on the back side with opening of 1800 and one right lateral
sliding door in the part for transport of the patient
8.Number of seats:
Cabin:1+2 ( driver + 2 co drivers)
Part for the patient: minimum 3 seats
9.Distance between axles: minimum 3400 mm
10.Total Vehicle length of the vehicle: up to 5500 mm max
11.Vehicle Height : from 2150 to 2600 mm with the light and
sound signalisation
12.Vehicle width ( with the lateral rear -view mirrors) :up to
2550 mm max
B) Inside dimensions of the vehicle (patient compartment)
13.Minimum Total length of the patient compartment-2600
mm
14.Minimum height of the patient compartment-1600 mm
15.Minimum width of the patient compartment -1600 mm, or
1240 mm between the back wheels
16. The width between the left and right side, without roof tilt
should be at least 1240 mm.
The length of the back of the compartment must be at least
2600 mm measured at the level of the stretcher.
The height from the floor to the roof should be at least 1620
mm.
The height from the floor to the upper surface of the stretcher
should be at least 500 mm.
All protruding parts in the patient compartment should be
designed and assembled in order to meet the required
minimum size.
C. Vehicle Equipment
17.ABS
18.ESP
19. Two (2) Air bags
20.Servo steering wheel
21. Central locking
22.Air conditioner ( independent air conditioner in the drivers
cabin and in the patient compartment)
D. Other additional/mandatory equipment
23. Rubber floor mats
24. Triangle
25. Fire apparatus
26. Set of spare bulbs
27.Vehicle to be delivered with (brand) summer tires + spare
and set of (brand)spare winter tires to be delivered
29. Heating and cooling system in accordance with EN
1789:2007 standard
30.Electric installation: connection for electricity in the patient
compartment that allows exterior electricity for the activities
such as:
-battery charging
-use of medical apparatus if they are installed
31.Patient compartment should be equipped with 220V plug
(socket) and 4 12V plugs(sockets)
32. Barrier (barrier wall): one or two windows to be made on
the barrier wall from the material which is in conformity with
the Directive 92/22/EEC and its amendments and additions.
These windows should provide direct visual contact with the
driver. Part of the window that is opening should not take area
bigger than 0,12 m2.This window should be secured from
accidental opening and should have movable(sliding) cover or
other type of protection for the driver in order the additional
light built in the patient compartment not to disturb the driver
33. Windows in patient compartment: at least two external
windows must be built. One lateral right window must be
obligatory opened with sliding with dimension of the aperture
of minimum 500 mm and on the right side.
These windows should be additionally dimmed in order to
provide privacy of the patient.
These windows are to be manufactured from the material
which is in conformity with the Directive 92/22/EEC and its
amendments and additions
34. Patient compartment must be planned and projected in a
way that medical equipment could be built-in in accordance
with the type of the vehicle
35.Lockable shelves and drawers to accommodate medical
equipment
E. Exterior lighting system and audible warnings
36. The vehicle must be equipped with visual / lighting signals
and one audio as warning systems.
The visual warning system should be placed in front part of the
roof of the vehicle and lighting signalization built into left and
right side of the upper side of the vehicle.
37. Light console with width of 1300 mm with flashing LED
group of lights. The console should have a built-in electronic
siren with howling tone and choice of 6 tunes with the
speakerphone.
38. Blue lights built into the front bumper, at least 2
(alternating)
39.Two reflectors at the upper side of the vehicle and one
movable upper part of the vehicle
 40. System for ventilation: this system should provide at least
20 changes of air /per hour when the vehicle is not moving
41.Lighting in the patient compartment: in accordance with
standard EN 1789:2007
42.Position for infusion: in accordance with standard EN
1789:2007
43. Fog lights:2 light in front bumper+ 1 back fog light
44.Body shell colour- white
45. International sign for emergency aid must be centrally
positioned above the windscreen and at the windows on the
back doors - with fluorescent colour
46.Red tape with a width of at least 180 mm should be around
the whole vehicle and along the edge of the roof - with
fluorescent colour
47.The inscription on the front of the vehicle written in block
letters less than 150 mm, easily readable in the rearview
mirror , on the fluorescent foil
48. Integrated system for oxygen supply (Oxygen stand) should
be on the left side of the patient compartment. Should consist
of following parts:
-supporting construction placed into the protected cabinet
with unhindered access to containers for 2 oxygen cylinders
and cylinder carriers
-modular and upgradable system
-Two(2) plugs for O2
-One(1) 10 litres O2 cylinder under 150 bars pressure
-pressure regulator 150/5 bars
-flowmeter 0-15 l/min
- humidifier
-complete masks for oxygen
49. Infusion holders built in the roof construction in the
patient compartment
Ambulance portable
5.2 1 Package consisting of:
equipment

Portable aspirator, with 230V
  AC power supply and built-in
battery of 12 V DC.
Portable respirator
(ventilator) for adults,
  children, newborn,
12V/220VAC+ built in
battery.
Portable aspirator with 220V AC power supply and built-in
battery 12 V DC. It should contain the following elements:
- Automatic battery charging
- Case to be made of highly resistant plastic
- a secret vessel made of polycarbonate, with the possibility of
sterilization in the autoclave. Container must have valve
1 protection from overloading-
- 1 antibacterial filter
- Set of silicone hoses for suction
- Suction regulator
- Manometer
- Vacuum: -0.7 bar min
- Flow: min. 20 litres per minute
- Weighing- up to 5 kg
- Portable
Portable respirator (ventilator) for adults, children, new-borns,
12V / 220 V AC / built-in battery
Should have the following characteristics:
-Minute volumen: 1 or 2 to 16 or 20 l / min
-Limit pressure: from 15-70 cmH20
-Frequency (RATE) from 5-40 bpm
-I / E connection: 1/2
-Pressure: 3.5 bar ± 0.5 bar
-PEEP: with the possibility of adjustment of 0 to 20 cmH20
-Integrated device for mixing the gases with the possibility of
adjusting the oxygen mixture to 50% to 100% or 60% to 100%
1 -Acoustic and visual alarm: apnoea, low battery, high pressure,
low pressure, an error in the supply of gas and power failure
with electric power
-Built-in rechargeable battery with autonomy of 3 hours ,
charging time not longer than 12 hours
-It should contain a special case of stainless steel with the
possibility of connecting to O2 bottle of 2 liters
-Weight –up to13 kg with bottle
-Special plug for fastening in the ambulance vehicle
-Connector for central gas system
-Set of silicone hoses
-Power cable

  Portable manual defibrillator
  ECG device with battery
Wall device for measuring
 
the blood pressure
Defibrillation method by biphasic Multipulse biowave
technology or equivalent
Defibrillation with paddles
Defibrillation energy up to 200J
Dimensions maximum: 270x310x160 mm (h x l x w)
Weight: maximum 5.7 kg (with battery)
Manual and automatic mode
1 Built-in LCD display with minimum diagonal of 5,9 inches.
Three channel integrated thermal printer, paper width min.
72mm
Mininak printer resolution: 8 dots/mm (amplitude-axis), 40
dots/mm (time-axis) at 25 mm/s
Battery type: Lead-acid 12 V, 2.3 Ah
Battery capacity of min. 100 shocks or 4h monitoring
ECG monitoring: minimum 3 leads.
Module for measuring SpO2: massimo
AED option with self-adhesive electrodes for defibrillation
Electrocardiograph - ECG
12 channel ECG for recording and printing of all 12 channel
LCD display with a minimum of 2х16 characters and a pulse
display
The ability to enter the name, age, gender, height and weight
of the patient
Combined alphanumeric and functional keyboard
Indication contact for each electrode separately
Thermal printer with a minimum paper width of 204mm with
the ability to print on plain thermal fax paper and make a
1 millimeter template with automatic interpretation of the
record
Sensitivity of 5, 10 and 20 mm / mV
Print speed of 12.5, 25 and 50 mm / s
Adaptable filters from 50 to 60 Hz
Filter for muscle tremors from 25 to 35 Hz
Filters to stabilize the baseline from 0.1Hz -3dB or lower
Able to record long ECG
Protection from defibrillation
The offered device must have a built-in battery
Ability to upgrade with ECG computer tracking software
Wall device for measuring the blood pressure:
range: 0-300 mmHg
1 -manometer in which enables reading in low light conditions
-case made of high quality ABS plastic resistant to mechanical
damages

Portable system for oxygen
  support
Ventilation balloon for adults,
 
children and infants
Automatic folding stretcher /
  chart on wheels by the
standard N 1865
  Cardiac Chair
Portable system for oxygen support, consisting of:
-an oxygen cylinder 3 litre with flow regulator
1 -O2 masks (made of material that can be disinfected) in all
sizes (adults, children)
-Carrying bag
Ventilation balloon for adults, children and infants:
- made of special and silicon that can be disinfected with
autoclave
-Three (3) values in volume: Adult 1600ml; Child 500ml; for
1
newborns 280ml;
- Possess a special safety valve to control the excessive
pressure of 60 cm H2O to 40 cm H2O adults and for children
and infants
Automatic folding stretcher / chart on wheels by the standard
N 1865:
Should contain the following elements:
• To be manufactured from light epoxy aluminium carrier,
which can be put aside and which can be joined/connected
with foldable stretcher
• Trandelenburg position
• Regulation of the back 0-90 °
• 10G fixation system
• to own 4 telescopic handles for carrying
1 • 4-wheels
• the minimum length of 1900 mm
• minimum width of 480 mm
• Minimum height with prolonged wheels, 800 mm
• To use the rail system
• anatomic mattress coated with material that is easily cleaned
with disinfectant
• holders for mattress
• Straps for fixation of the patient
• total maximum weight of up to 52kg
• minimum load capacity 160 Kg
Cardiac chair:
Dimensions:
• Minimum height with backrest 900 mm
• minimum width of 500 mm
• minimum depth of the seat 450 mm
• the minimum height of the backrest 450 mm
1 • the minimum length of the backrest for arm at the backrest
of the chair of at least 250 mm
• the minimum height of the backrest for the arm at the
backrest of the chair in relation to the base 750mm
• Minimum length of lower backrest for arm (at maximum
prolongation) 400 mm
• 20G fixation system

Spinal board for adults and
 
children
Patient central monitoring
system
• maximum weight of 11 kg.
• minimum load capacity 150 kg.
• produced from epoxidated aluminium
• 2 wheels
• Straps for fixation of the patient
• covered with material that is washable and easily disinfected
• Four (4 ) foldable telescopic handles for carrying
Spinal board for adults and children
1
- belts for adults
- belts for children
8 PATIENT MONITOR WITH CENTRAL MONITORING SYSTEM
For monitoring of adults, children and neonates
Touch screen display with min 15”, resolution display
1024x768
To have minimum 11 waveforms displayed in full color
Capacity to store 120h or more of trend data for all
parameters
Capacity to store 60 alarm events or more
System noise less then 30 μVPP
Built-in battery enabling at least 120 minutes
Dual temperature measuring range from 0 to +50С
Respiration measuring range from 6-150 rpm
IBP measuring range from -50 to 300mmHg
NIBP measuring range from 0-300mmHg
Measuring NIBP with included minimum 3 types of cliffs
Heart rate measuring range from 15-300 bpm
SPO2 with minimum 2 sensors for adults and minimum 2
sensors for pediatric use with measuring range from 15 - 300
bpm
3/5 lead ECG, etCO2 measure
Nurse call port, analog output, defibrillator synchronization,
VGA output, USB interfaces
Alarm indicator and alarm pause
Integrated recorder, to print up to 3 channels of information
Central monitoring system CMS
The easy-to-use and lets you centrally monitor the vital signs
on the patients connected
System, PC workstation, Keyboard, Mouse, Display 19 inch
Requirements meet the IEC/EN control requirements for ITE
device CPU:
-Intel Core i3 Duo 3.0GHz or above Memory: 4G or above
Hard disk: 500GB or above Display interface: 2 LAN
Installation and all needed cables for connection included in
 delivery
Electrocardiograph - ECG

12 channel ECG for recording and printing of all 12 channel

LCD display with a minimum of 2х16 characters and a pulse
display
The ability to enter the name, age, gender, height and weight
of the patient
Combined alphanumeric and functional keyboard
Indication contact for each electrode separately
Thermal printer with a minimum paper width of 204mm with
the ability to print on plain thermal fax paper and make a
millimeter template with automatic interpretation of the
12 channel ECG record
Sensitivity of 5, 10 and 20 mm / mV
Print speed of 12.5, 25 and 50 mm / s
Adaptable filters from 50 to 60 Hz
Filter for muscle tremors from 25 to 35 Hz
Filters to stabilize the baseline from 0.1Hz -3dB or lower
Able to record long ECG
Protection from defibrillation
The offered device must have a built-in battery

Ability to upgrade with ECG computer tracking software

Instructions for handling the medical device in Macedonian
language.
3
Diagnostic aid multiparameter with capillary aspiration for the
determination of the following paramenters: Glucose,
Cholesterol, Triglycerides
Possibility to execute several determinations from fingerprint
simply by changing strip.
To be able to determinate glucose, cholesterol and
triglycerides monitoring in whole blood.
The offered device should use two different technologies:
AMPEROMETRIC and REFLECTOMETRIC
Blood glucose, total The offered device should be easy to use with external data-
cholesterol and triglycerides chip insertion,
meters -Wide Display,
-Automatic switch on by strip insertion,
- Memory capacity of minimum 500 test results, -
Indication of the average glucose level of the last 7, 14, 21, 28
days,
-Easy cleaning of optical part by the lower cover opening,
-Strip Ejection,
-Data Transfering to PC
The device should be delivered with Glucose strips, Cholesterol
2 strips and Triglycerides strips
  Minimum 15.0 inch high resolution display with wide
viewing angle
 Laptop style Alphanumeric keyboard
 It should have an ergonomic carrying handle and to
include AC adapter, power cord and system battery
 Internal memory of the system should be minimum
500 GB hard drive
 Dynamic range of minimum 170 dB
 Continuously variable steering in 2D, color and
Doppler modes
 Minimum available modes: 2D, M-mode, Anatomical
M-mode, Color M-mode, Pulsed Wave Doppler, Color
Power Angio (CPA), Continuous Wave Doppler, Invert
and Color Invert, Dual mode, Duplex for simultaneous
2D and Doppler, Tissue Harmonic Imaging (THI),
Adaptive Color Doppler, Color Tissue Doppler imaging,
Pulsed Wave Tissue Doppler imaging
 Cineloop review
 Integrated DVD/CD burning capability for storage of
Portabl echocardiography
images
machine
 Tissue Specific Imaging software for adult cardiac
ultrasound applications.
 Display optimization software with presets for adult
cardiac imaging and Doppler applications
 Analysis software package that includes cardiac
imaging protocol measurements
 Configurable reports and finding
 Post-process optimization and advanced adaptive
image processing
 Vascular software package including Tissue Specific
Imaging software for Cerebrovascular, Peripheral
Vascular, Abdominal Vascular and Transcranial
applications.
 Travel case
 Linear probe wih minimal frequency range from 3-12
MHz for vascular, small parts, musculoskeletal and
acute care applications.
 Phased array sector probe for adult cardiology with
1 minimum frequency range from 1 to 5 MHz

Please indicate which equipment you are eligible to supply and what would be the delivery
period for each item.

If you/your company is in accordance with the requirements we would kindly ask you to
send us your confirmation within 3 days from the date of the receipt on the following E-
mail address ___________